| NPI | 1992022230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61398282) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 26711) |
| 208000000X Pediatrics (Licence: MO 2017024333) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: KS 04-39770) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2024-04-22 |